9930 EVERGREEN WAY TWO MEN AND A TRUCK 2020-02-07

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# \C O`-c —OZLI BUILDING PLANNING Intake OK b Date:r'1®//of 7 Intake OK by:�- -� j1 Date: ""1 - \ Intake Comments: Intake Comments: Assign To: ),Ja C\Kc{ e ON& CIA Pl'Route to Commercial Building PM ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bld I/ ddn/Rem Size /,(f,s'S: 0 Hold in Planning File Drawer Garage/Accessory Struct.Size /e-</A Zone ; -\ i\IW\Q Number of Stories / Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use b� . Type of Construction a Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load /? Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Fin- . ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: A :r nt$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dis ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Note . VALUATION CALCULATION: Total$ ,3Z�,D&O.00 Approved Byr"---1 -----) Date: LA,` 2CAC\ PUBLIC WORKS Intake OK by: -TDate: 4-1 I to 12-o t Additional Notes: Intake Comments: PW Worksheet Needed if: I a-1-T"8:+-+e id- ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed Approved By �� Dated// 40/q ❑Backflow Prevention for high hazard: / (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) Fire Sprinklers Mire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By,;-17 ,1„..... Date: Q�/�/'0f7 'ublic Works has no scope---PW Not Required �`'` Additional Notes: / /2.0L,t ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: (27--;